KAITLYN NICOLE DIAZ (PA-C) – Physician Assistant, NPI 1154184943

KAITLYN NICOLE DIAZ (PA-C) is a healthcare provider. based in San antonio, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 17611 (TX). The NPI Number for KAITLYN NICOLE DIAZ (PA-C) is 1154184943

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN NICOLE DIAZ (PA-C)
NPI
1154184943
Phone
Not provided
Address
2424 BABCOCK RD STE 301
Enumeration Date
5 February 2024
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106160882
Graduation Year
2023 (3 years ago)
PAC ID
2062858939
Group Practice PAC ID
3274596853
Professional Enrollment ID
I20240313004184
Address ID
TX782296031SA2424XRDXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:2State licenses:2Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for KAITLYN NICOLE DIAZ (PA-C)

  • 2424 BABCOCK RD STE 301

    SAN ANTONIO, TX 782296031

    Phone:

    Type: Mailing

  • 7500 Barlite Blvd Ste 106

    San Antonio, TX 782241362

    Phone: (210) 616-0882

    Type: Location

  • 19016 Stone Oak Pkwy Ste 250

    San Antonio, TX 782583337

    Phone: (210) 616-0882

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 128 Open Payments records for all available years, with a total value of $3,669.

Total Amount is formed as General ($3,669) + Research ($0) + Ownership ($0) = $3,669.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($684).

Total Amount

$3,669

General + Research + Ownership

Payments

128

Total payment records

General Amount

$3,669

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240313004184IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78229)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274596853View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
Allergy/Immunology, Internal MedicineTX
A L L E R G Y/ I M M U N O L O G YTX
A L L E R G Y/ I M M U N O L O G YTX

Reviews

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Frequently asked questions

Does KAITLYN NICOLE DIAZ (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KAITLYN NICOLE DIAZ (PA-C) uses 1154184943.
Is KAITLYN NICOLE DIAZ (PA-C) listed as active for patients and plans?
The listing shows KAITLYN NICOLE DIAZ (PA-C) as active in the NPI system.
What is KAITLYN NICOLE DIAZ (PA-C)'s specialty?
The listing groups KAITLYN NICOLE DIAZ (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for KAITLYN NICOLE DIAZ (PA-C)?
KAITLYN NICOLE DIAZ (PA-C)'s geographic hint is San Antonio, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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